Evidence map›Paper›PMID 34789368›Full record

ReviewDeutsches Arzteblatt international2021

Multiresistant Gram-Negative Pathogens—A Zoonotic Problem.

Robin Köck, Caroline Herr, Lothar Kreienbrock, Stefan Schwarz, Bernd-Alois Tenhagen, Birgit Walther

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Epidemiology and zoonotic transmission ofFrontiers in microbiology · 2023
    Article
  5. Article
  6. Article
  7. Article
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  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Robin KöckInstitute for Hygiene, DRK Kliniken Berlin; Institute for Hygiene, University Hospital Münster; Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Munich; Global Environmental Health and Climate Change, Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Clinical Centre of the Ludwig Maximilian University Munich; Institute for Biometry, Epidemiology and Information Processing, University of Veterinary Medicine Hannover; Institute of Microbiology and Epizootics, Department of Veterinary Medicine at the Freie Universtität Berlin; Department Biological Safety, German Federal Institute for risk assessment, Berlin; Advanced Light and Electron Microscopy, Robert Koch Institute, Berlin.
Caroline Herr
Lothar Kreienbrock
Stefan Schwarz
Bernd-Alois Tenhagen
Birgit Walther
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit · DEFreie Universität Berlin · DEInstitute of Medical Microbiology and Hygiene · DELudwig-Maximilians-Universität München · DEZimmer Biomet (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtended-spectrum-β-lactamase-producing, carbapenemase-producing, and colistin-resistant Enterobacterales (ESBL-E, CPE, and Col-E) are multiresistant pathogens that are increasingly being encountered in both human and veterinary medicine. In this review, we discuss the frequency, sources, and significance of the zoonotic transmission of these pathogens between animals and human beings.

methodsThis review is based on pertinent publications retrieved by a selective literature search. Findings for Germany are presented in the global context.

resultsESBL-E are common in Germany in both animals and human beings, with a 6-10% colonization rate in the general human population. A major source of ESBL-E is human-to-human transmission, partly through travel. Some colonizations are of zoonotic origin (i.e., brought about by contact with animals or animal-derived food products); in the Netherlands, more than 20% of cases are thought to be of this type. CPE infections, on the other hand, are rare in Germany in both animals and human beings. Their main source in human beings is nosocomial transmission. Col-E, which bear mcr resistance genes, have been described in Germany mainly in food-producing animals and their meat. No representative data are available on Col-E in human beings in Germany; in Europe, the prevalence of colonization is less than 2%, with long-distance travel as a risk factor. The relevance of animals as a source of Col-E for human beings is not yet entirely clear.

conclusionLivestock farming and animal contact affect human colonization with the multiresistant Gram-negative pathogens CPE, ESBL-E and Col-E to differing extents. Improved prevention will require the joint efforts of human and veterinary medicine.

Indexed as

Anti-Bacterial AgentsColistinAnimalsEuropeGermanyHumansAnti-Bacterial AgentsColistin

Identifiers

PMID34789368
PMCPMC8647294
OpenAlexW3140930543

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.